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- Title
Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis.
- Authors
Chen, Li-Jung; Chen, Shih-Hong; Hsieh, Yung-Lin; Yu, Po-Chuan
- Abstract
Surgery to repair pectus excavatum (PE) is often associated with severe postoperative pain, which can impact the length of hospital stay (LOS). While thoracic epidural analgesia (TEA) has traditionally been used for pain management in PE, its placement can sometimes result in severe neurological complications. Recently, paravertebral block (PVB) and erector spinae plane block (ESPB) have been recommended for many other chest and abdominal surgeries. However, due to the more severe and prolonged pain associated with PE repair, it is still unclear whether continuous administration of these blocks is as effective as TEA. Therefore, we conducted this systematic review and meta-analysis to demonstrate the equivalence of continuous PVB and ESPB to TEA.
- Subjects
EPIDURAL analgesia; CHEST (Anatomy); LENGTH of stay in hospitals; ONLINE information services; MEDICAL databases; PECTUS excavatum; META-analysis; MEDICAL information storage &; retrieval systems; SYSTEMATIC reviews; NERVE block; ERECTOR spinae muscles; TREATMENT effectiveness; DESCRIPTIVE statistics; RESEARCH funding; MEDLINE; POSTOPERATIVE pain
- Publication
BMC Anesthesiology, 2023, Vol 23, Issue 1, p1
- ISSN
1471-2253
- Publication type
Article
- DOI
10.1186/s12871-023-02221-x